| Old | New | Differences | |
|---|---|---|---|
| 1 | - | General Assembly Substitute Bill No. 5814 | |
| 2 | - | January Session, 2015 *_____HB05814HS____031715____* | |
| 1 | + | General Assembly Committee Bill No. 5814 | |
| 2 | + | January Session, 2015 LCO No. 4808 | |
| 3 | + | *04808HB05814HS_* | |
| 4 | + | Referred to Committee on HUMAN SERVICES | |
| 5 | + | Introduced by: | |
| 6 | + | (HS) | |
| 3 | 7 | ||
| 4 | 8 | General Assembly | |
| 5 | 9 | ||
| 6 | - | ||
| 10 | + | Committee Bill No. 5814 | |
| 7 | 11 | ||
| 8 | 12 | January Session, 2015 | |
| 9 | 13 | ||
| 10 | - | ||
| 14 | + | LCO No. 4808 | |
| 11 | 15 | ||
| 12 | - | AN ACT CONCERNING A STUDY OF MEDICAID REIMBURSEMENT FOR HOME HEALTH CARE. | |
| 16 | + | *04808HB05814HS_* | |
| 17 | + | ||
| 18 | + | Referred to Committee on HUMAN SERVICES | |
| 19 | + | ||
| 20 | + | Introduced by: | |
| 21 | + | ||
| 22 | + | (HS) | |
| 23 | + | ||
| 24 | + | AN ACT CONCERNING A STUDY OF MEDICAID REIMBURSEMENT FOR HOME CARE. | |
| 13 | 25 | ||
| 14 | 26 | Be it enacted by the Senate and House of Representatives in General Assembly convened: | |
| 15 | 27 | ||
| 16 | - | Section 1. (Effective July 1, 2015) (a) The Commissioner of Social Services shall study the benefits and costs of restructuring the Medicaid reimbursement system for home health care agencies from a flat-rate model to an acuity-based model that (1) reimburses agencies based on the level of health care needs of a Medicaid beneficiary, and (2) supports state efforts to deinstitutionalize residents who are capable of receiving care in a home or community-based setting through the Money Follows the Person demonstration project established pursuant to section 17b-369 of the general statutes. | |
| 17 | - | ||
| 18 | - | (b) As part of the study, the commissioner shall also examine the impact of the existing Medicaid provider rate structure on (1) providing quality medical and behavioral home and community-based services, including, but not limited to, (A) licensed home health care, (B) home health aide, homemaker and companion services, and (C) adult day care; and (2) recruiting and retaining an adequate number of providers. The study shall include a review of the implications of basing Medicaid reimbursement for home and community-based services on a percentage of Medicare rates for such services. For home and community-based services not included under the Medicare program, the study shall recommend an alternative rate system based on the level of home and community-based services required and the acuity of patient health needs. | |
| 19 | - | ||
| 20 | - | (c) The commissioner may develop and fund the study in collaboration with interested representatives from home and community-based provider associations. Not later than December 1, 2015, the commissioner shall report the results of the study, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to human services. | |
| 28 | + | Section 1. (Effective July 1, 2015) The Commissioner of Social Services shall study the benefits and costs of restructuring the Medicaid reimbursement system for home health care agencies from a flat-rate model to an acuity-based model that (1) reimburses agencies based on the level of health care needs of a Medicaid beneficiary, and (2) supports state efforts to deinstitutionalize residents who are capable of receiving care in a home or community-based setting through the Money Follows the Person demonstration project established pursuant to section 17b-369 of the general statutes. Not later than January 1, 2016, the commissioner shall report the results of the study in accordance with the provisions of section 11-4a of the general statutes to the joint standing committee of the General Assembly having cognizance of matters relating to human services. | |
| 21 | 29 | ||
| 22 | 30 | ||
| 23 | 31 | ||
| 24 | 32 | ||
| 25 | 33 | This act shall take effect as follows and shall amend the following sections: | |
| 26 | 34 | Section 1 July 1, 2015 New section | |
| 27 | 35 | ||
| 28 | 36 | This act shall take effect as follows and shall amend the following sections: | |
| 29 | 37 | ||
| 30 | 38 | Section 1 | |
| 31 | 39 | ||
| 32 | 40 | July 1, 2015 | |
| 33 | 41 | ||
| 34 | 42 | New section | |
| 35 | 43 | ||
| 44 | + | Statement of Purpose: | |
| 45 | + | ||
| 46 | + | To ensure that Medicaid rates adequately cover the increased costs to provide care to persons with acute medical needs who are leaving institutional settings for care at home or in a community-based setting. | |
| 47 | + | ||
| 48 | + | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] | |
| 36 | 49 | ||
| 37 | 50 | ||
| 38 | - | HS Joint Favorable Subst. | |
| 39 | 51 | ||
| 40 | - | ||
| 52 | + | Co-Sponsors: REP. COOK, 65th Dist. | |
| 41 | 53 | ||
| 42 | - | Joint Favorable Subst. | |
| 54 | + | Co-Sponsors: | |
| 55 | + | ||
| 56 | + | REP. COOK, 65th Dist. | |
| 57 | + | ||
| 58 | + | H.B. 5814 |